Dana Shawn Vitale in Kingman - Student In An Organized Health Care Education/training Program
Dana Shawn Vitale - NPI 1164450524
Dana Shawn Vitale is a Student In An Organized Health Care Education/training Program in Kingman, Arizona. Dana Shawn Vitale practices all healthcare services and medical treatments related to Student In An Organized Health Care Education/training Program. The NPI Number for Dana Shawn Vitale is 1164450524. The last update date is 2023-07-13.
Dana Shawn Vitale's current location address is 2837 Diamond Spur St, Kingman, Arizona. You can contact this provider via phone number 9288972016. The mailing address for Dana Shawn Vitale is 2837 Diamond Spur St, Kingman, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dana Shawn Vitale |
|---|---|
| Address | 2837 Diamond Spur St, Kingman, Arizona |
| Phone Number | 9288972016 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1164450524 |
|---|---|
| Provider Enumeration Date | 2006-06-28 |
| Last Updated Date | 2023-07-13 |
Provider Mailing Address Detail
| Address | 2837 Diamond Spur St |
|---|---|
| City | Kingman |
| State | Arizona (AZ) |
| Post Code | 864017848 |
| Phone Number | 9288972016 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Student In An Organized Health Care Education/training Program |
|---|---|
| Taxonomy | 390200000X |
|
Definition: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 971649 | AZ | -- |
Post Comment/ Review Below
What is the Dana Shawn Vitale's 1164450524?
The Dana Shawn Vitale's NPI (National Provider Identifier) Number is 1164450524. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Dana Shawn Vitale?
The Dana Shawn Vitale is physically situated at 2837 Diamond Spur St, in the city of Kingman, state of AZ, with the postal code 864017848.
What is the Dana Shawn Vitale's specialty and taxonomy code?
The Dana Shawn Vitale's specialty is Student In An Organized Health Care Education/training Program, and the corresponding taxonomy code is 390200000X.
What is the area of specialization for Dana Shawn Vitale, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Dana Shawn Vitale is Student In An Organized Health Care Education/training Program, and the corresponding taxonomy code that categorizes this area of expertise is 390200000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1164450524 to Dana Shawn Vitale?
The Dana Shawn Vitale received its 1164450524 assignment from the Centers for Medicare & Medicaid Services on 2006-06-28.